HAVEN Volunteer Application

  • Note about conflict of interest:

    If you are involved with another organization that might create a conflict of interest and possibly violate our confidentiality policies, you may be unable to volunteer with our organization.

  • Additionally, we cannot accept everyone into our volunteer program, but we appreciate any interest.

  • Full Name*
  • Date of Birth*
  • Address*
  • Phone Number*
  • Email Address*
  • Are you currently employed?*
  • Name of Employer
  • Position
  • Have you ever been convicted of a crime? If so, please explain.
  • What is your highest level of education?*
  • Please list any degrees, degrees-in-progress, or certifications below:
  • Are you interested in volunteering with HAVEN as part of an internship/practicum? *
  • Are you volunteering to fulfill another community service requirement? *
  • Relevant Work/Volunteer Experience

  • 1. Organization, Position & Dates of Service
  • 2. Organization, Position & Dates of Service
  • 3. Organization, Position & Dates of Service
  • References

    (Please provide a minimum of two and a maximum of three references. Please exclude relatives and close friends.)

  • 1. Name, Relationship & Phone Number*
  • 2. Name, Relationship & Phone Number*
  • 3. Name, Relationship & Phone Number
  • Please indicate which volunteer position(s) you are interested in. (Check all that apply.)*
  • Why do you want to volunteer at HAVEN?*
  • What personal attributes or experiences do you possess that you feel will help you to be effective serving victims of domestic violence? What other skills (office work, event planning, second languages etc.) do you have that you feel would help support HAVEN?*
  • What do you think are some of the causes of domestic violence?*
  • At HAVEN, we work with people of all sexual orientations, gender identities and from different social, economic, cultural and religious backgrounds. Give an example of a time when you have worked with individuals or groups whose background were different from your own. Do you anticipate discomfort with any of these issues?*
  • Are you a survivor of domestic violence? If so, how will this have an impact on any work you do with HAVEN?*
  • How will you feel if you find out that someone you know personally is an abuser? How might you react if you see them while you’re out in a public place?*
  • All of the work you would do as a volunteer is strictly confidential. What is your understanding of confidentiality and how it works in this setting?*
  • How might you feel and/or react if, on your way in to the office for your volunteer shift, you see a pregnant client having a cigarette outside on the patio?*
  • How might you feel and/or react if a client you’ve gotten to know at the shelter tells you that her boyfriend has finally apologized, and she’s moving back in with him tomorrow?*
  • How might you feel and/or react if you walk into the shelter in the afternoon to make some beds, and see a client who has been struggling to find a job sitting on the couch watching a soap opera?*
  • How might you feel and/or react if a client tells you that they need $10 to get a refill on an important prescription, but they don’t get paid until next week?*
  • Do you have any concerns about working with clients who have mental health and/or drug and alcohol related issues?*
  • If accepted, it is very important for us to count on you for specific days and times. Initial time commitment to HAVEN may include attending volunteer training, shadowing if on the crisis line, and attending in-service trainings. Crisis line volunteers are asked to commit to a minimum of two shifts a month for a minimum of twelve months. Are you willing and able to meet these requirements?*
  • Any additional comments or questions can be written here:
  • Reference Contact Consent*
  • Background Check: In order to help with the cost of background checks and volunteer training, we do request a $10 application fee at the time of interview. If this is in anyway prohibitive please speak with a HAVEN staff member.*
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